Provider Demographics
NPI:1831741842
Name:IKARE COMMUNITY HEALTH SERVICES INC
Entity type:Organization
Organization Name:IKARE COMMUNITY HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARLISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-410-0998
Mailing Address - Street 1:18441 NW 2ND AVE STE 116
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4571
Mailing Address - Country:US
Mailing Address - Phone:786-320-8722
Mailing Address - Fax:786-320-6891
Practice Address - Street 1:18441 NW 2ND AVE STE 116
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33169-4571
Practice Address - Country:US
Practice Address - Phone:786-320-8722
Practice Address - Fax:786-320-6891
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BARON COUNSELING SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-10
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103525900Medicaid